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--1 �_i.�.Gu 11_3 I--- .�� • <br /> _�.✓-.�� <br /> ' t.iTD 1'i4-25'91 . . <br /> w'n.xo.ma—isoo—sp.c>—s�xe-z� .. '� -• ' , <br /> City of Everett-�Water Department <br /> APPLICATIOl'� �OR �Tp'TER <br /> Al] blanke muet be �led in or croescd out <br /> . ...... . ..............192...... <br /> / .... . <br /> Everett,.....L .. � ?....... ` <br /> .. <br /> .. .....3...... . . . . <br /> TO THE SUPERINTENDENT OF TH WATER DEPARTMENT: ' <br /> CITY OF EVE$E1"C: <br /> I Lereby apply for the use of water �oseacand¢f xtures stat d�below. rega- . <br /> latione of the �Jeter Department, for purp be taken up by reason <br /> During the 6ime that eny of the water metns may , atreet or , <br /> of an�v improvemente eub8ve beenYls de t�e Cit9 willrenot�be�required to furnieL <br /> slley m which they may consumer whose supply <br /> water durmg the ProBr�B of evch improvemente to eny <br /> may thue be cut off, orGbe liable for any dameges for its Yeilure eo to do. <br /> Application No.....lt..�_Q_'..��.................. <br /> � . .............. <br /> Block....................................... Lut....................---.............. <br /> . Add............._............. <br /> xo.............. ........................ <br /> . . <br /> ............ <br /> st�et <br /> ........... ... <br /> ............... .................................... <br /> ... <br /> _�,7 �_G.�.J...�:.::{<...................................... ' <br /> . ......... . <br /> ........ <br /> ...............................Plum er <br /> .........._ !/�� Q� � �� <br /> The work to be executed Y.............................. `�,-u-`* <br /> �t� eize of tap. ' y (,t�r.� . <br /> ..............Tap to be inserted in the main. / /i �f7 !✓ G� � <br /> �..,.� <br /> ................Water closet �t� 3 � � <br /> .....Bath G ' <br /> ........... � . <br /> .2 S.�—x ,� <br /> ................Urinal ✓ <br /> :...............Plain faucet inside . � ; �'� � <br /> ................Side walk washer �, - <br /> �................Hose bit outside . <br /> .._$ose bib fur bvilding purposes � <br /> ............ . <br /> ................Hose bib inside atall.................... <br /> ................Bib 4or stable containinB.................... , .. <br /> � rI <br /> ................Number o1 peraona in family , <br /> ................Number oY rooms iii building � <br /> ..... ..... ........./��.�...�.....�...... . <br /> The premiaes are to be ueed as e...... .�.--�-' � . �/�"�'.!"f-'..' <br /> �.....�_f�f2. <br /> The owner of the premiaee ie..� -, a ; r''.�_:._,,__, , ,. , <br /> ......................... ........... <br /> .............i................... . <br /> .....:........... <br /> . .. <br /> The a6ent is/..r�._................. . .. nntil <br /> This applicati0n� ulthouBh signed, shall not be binding upon the City, <br /> r Deyertment. <br /> eccep�d by the Superintende o , <br /> �� ��i: C..................... ..�1PPlicnnt <br /> .�.::..........� <br /> Si �..�.-�lk�. . � <br /> ....... <br /> .l� . : ................. <br /> /,2.�D.��92...... 89�-...... .. <br /> ' ' ' "'��iintendent <br /> Accepted.............:.... . <br />